Приоритизация и делегирование: лист заданий с ответами

Which blood pressure in an adult suggests hypotension?

1. A118/76 mmHg
2. B110/70 mmHg
3. C82/48 mmHg
4. D126/82 mmHg

Which resting heart rate is normal for a newborn?

1. A60/min
2. B80/min
3. C210/min
4. D140/min

В системе ABC для определения сестринских приоритетов какая потребность удовлетворяется первой?

1. AДыхание (Breathing)
2. BПроходимость дыхательных путей (Airway)
3. CКровообращение (Circulation)
4. DБоль

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. ARecord the result and recheck the glucose at the usual time before the evening meal
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CGive another serving of fast-acting carbohydrate and recheck in 15 minutes
4. DWait another hour, because juice can take a long time to work

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BHold the dose and report so the white cell count can be checked
3. CIncrease the dose because the symptoms suggest a relapse
4. DAdvise the patient to gargle with warm salt water and rest in bed

В смешанном терапевтическом отделении какого пациента медсестре следует осмотреть первым?

1. AПациента, просящего письменную информацию о завтрашней выписке
2. BПациента с гипертонией, у которого давление 136/84 mmHg
3. CПациента с лёгкой головной болью напряжения, просящего ацетаминофен
4. DПациента с депрессией, раздавшего свои вещи и имеющего план самоубийства

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe patient whose call light went on first
3. CThe confused patient climbing out of bed
4. DThe patient in pain after surgery

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ARestlessness and a rising heart rate while the blood pressure is still normal
2. BLoss of consciousness with gasping breaths
3. CA very low blood pressure with fixed, dilated pupils
4. DA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout